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惊恐障碍中身体感觉的错误解读。

Misinterpretation of body sensations in panic disorder.

作者信息

Clark D M, Salkovskis P M, Ost L G, Breitholtz E, Koehler K A, Westling B E, Jeavons A, Gelder M

机构信息

Department of Psychiatry, University of Oxford, Warneford Hospital, United Kingdom.

出版信息

J Consult Clin Psychol. 1997 Apr;65(2):203-13. doi: 10.1037//0022-006x.65.2.203.

DOI:10.1037//0022-006x.65.2.203
PMID:9086683
Abstract

Cognitive accounts of panic predict that panic disorder patients will be particularly prone to misinterpret autonomic sensations. Several studies have produced results consistent with this prediction, but each is open to alternative interpretation. To clarify matters, 2 studies administered the Body Sensations Interpretation Questionnaire (BSIQ) to panic patients and controls. Panic patients were more likely to interpret ambiguous autonomic sensations as signs of immediately impending physical or mental disaster and were more likely than other anxiety disorder patients and nonpatients to believe these interpretations. In a 3rd study, a brief version of the BSIQ was shown to have satisfactory test-retest reliability, to change with treatment, and to discriminate treatments that varied in their effects on panic.

摘要

惊恐障碍的认知理论预测,惊恐障碍患者会特别容易误解自主神经感觉。多项研究得出的结果与这一预测相符,但每项研究都存在其他解释的可能性。为了厘清情况,两项研究对惊恐障碍患者和对照组进行了身体感觉解释问卷(BSIQ)测试。惊恐障碍患者更有可能将模糊的自主神经感觉解释为即将发生身体或精神灾难的迹象,并且比其他焦虑症患者和非患者更有可能相信这些解释。在第三项研究中,BSIQ的简短版本显示出令人满意的重测信度,会随治疗而变化,并且能够区分对惊恐障碍有不同疗效的治疗方法。

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